Quality Management Program
The Quality Management (QM) program is organized around a vision of supporting optimal health outcomes and satisfaction with care for our members, as well as meeting all applicable regulatory and accreditation requirements. The QM program monitors and evaluates quality of care for our members and engages with the provider community to ensure standards of care are maintained across the network.
Medical Policy
For more information regarding our medical policies, visit our Medical Policy Portal.
Drug Management Program
Our Drug Management Program (DMP) can help make sure our members safely and properly use their prescription opioid or other frequently abused medications. If you use opioid medications that you get from several doctors or pharmacies, we may talk to your doctors to make sure your use is appropriate and medically necessary.
Member health and safety is our top priority. We recognize how certain medications have higher rates of abuse and are more likely to lead to addiction. This is why we have our Drug Management Program (DMP). The DMP is another way in which we make sure our members have the resources, support, and accountability they may need.
Drugs, alcohol, and tobacco
Spouses and families play a crucial role in helping loved ones stay drug-, alcohol-, and tobacco-free. Fortunately, there are a number of resources and tools that can help.
- The National Institute on Drug Abuse — Resources for families
- Find the nearest Drug Take-Back Site where you can dispose of unused prescriptions.
- Al-Anon family groups — 1-888-425-2666
- Nar-Anon family groups — 1-800-477-6291
- Prescription Opioids: What you need to know
Immediate assistance
- Poison Control — 1-800-222-1222
- Veterans Crisis Line — 1-800-273-8255 and press 1
- National Suicide Prevention Lifeline — 1-800-273-TALK
Help quitting
Tobacco: Smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
Alcohol: Alcoholics Anonymous — 1-212-870-3400 is open to anyone affected by an alcohol-related disorder. There are no age or education requirements.
Drugs: Narcotics Anonymous is an international, community-based association that provides a recovery process and support network for those affected by substance abuse disorders.
Nutritional Resources: ChooseMyPlate.Gov provides valuable information on healthy eating.
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Website last updated: 4/10/2025
